Organization Active NPI

Pediatrix Cardiology of New Mexico, P.C.

  • Pediatric Cardiology Physician
  • Albuquerque, NM
National Provider Identifier
1750580411
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
PEDIATRIX CARDIOLOGY OF NEW MEXICO, P.C.
Practice address
201 Cedar St SE
Ste. 700
Albuquerque, NM 87106-4917
Phone
(505) 848-3700
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eric H. Kurzweil, M.D., M.B.A.
Title
Director
Phone
(602) 256-4628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

201 Cedar St SE
Ste. 700
Albuquerque, NM 87106-4917

Mailing address

4722 N 24TH St
Ste. 150
Phoenix, AZ 85016-4800
Phone (602) 256-4628

Other identifiers 1

IdentifierTypeStateIssuer
71032860MedicaidNM

National Provider Directory

National Provider Directory

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1750580411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 N 24TH ST",
            "address_2": "STE. 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164800",
            "telephone_number": "602-256-4628",
            "fax_number": "855-851-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE",
            "address_2": "STE. 700",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064917",
            "telephone_number": "505-848-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX CARDIOLOGY OF NEW MEXICO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "KURZWEIL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-256-4628",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71032860",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.